Inspection on 21/08/07 for Rivacre Rest Home

This inspection was carried out on 21st August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Rivacre Rest Home 09/08/06

Rivacre Rest Home 28/01/06

Rivacre Rest Home 18/08/05

Rivacre Rest Home 05/10/04

Rivacre Rest Home 18/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Rivacre Rest Home 3/5 Grasmere Road Blackpool Lancashire FY1 5HS Lead Inspector Unannounced Inspection 21st August 2007 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rivacre Rest Home Address 3/5 Grasmere Road Blackpool Lancashire FY1 5HS Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01253 621103 Mr Ramendu Chanda Mrs Shreemuttee S Chanda Mrs Shreemuttee S Chanda Care Home 11 Category(ies) of Dementia (0), Mental disorder, excluding registration, with number learning disability or dementia (11) of places Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 09/08/06 Brief Description of the Service: Rivacre is a residential home for older people who are mentally ill. The home consists of single and double rooms. There are sufficient toilet and bathroom facilities available for all residents’ aids and adaptations are provided if required. There is a stair lift to provide access to the first floor. The home is situated near the centre of Blackpool close to the main shopping area and local bus routes. The property is a terrace house with seating provided in the front garden. There are call bell systems provided in all rooms. There is a large through lounge with a separate kitchen and dinning area provided for the residents. There is a statement of Purpose/Service user Guide, which is given to all prospective residents. This written information explains the care service that is offered, who the owners and staff are and what the resident can expect if he or she decides to live at the home. The fees at the home range from £270.00 per week. Charges for hairdressing and chiropody vary. Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection visit that took place on the 21/08/07 And took a period of approximately 4.0 hours. We spoke to both homeowners who run the home, a member of staff, one resident and briefly to two other residents to get their views of the home. As part of the inspection process we talked to people using the service and asked staff about those peoples needs. We also looked at their rooms, care plans, medical records and daily notes this is called case tracking. Other residents are invited to pass their opinions to us if they wish. There was little response from surveys sent out to residents, relatives and health professionals with one returning from a resident and one from a social worker both said how well the home was run. There have been no new staff employed at the home since 2004 and therefore staffing records were not looked on this visit. We walked around the building and watched people living and working to see how everyone supported and talked to each other. Looking at documentation, policies and procedures formed the basis of the inspection process. What the service does well: There is a small friendly staff team which is mainly run by the homeowners, and one part time member of staff, enabling relationships to develop and help residents and people working at the home get to know each other well and ensure a better understanding of the residents needs and in turn good support can be provided. The member of staff spoken to said, “I have been here part time for years and love it I know all the residents very well”. One resident spoken to said, “I get along fine one big family”. The people working at the home are experienced and well qualified to care for this resident group ensuring they get the best support and care individually. A comment from a social worker was “Experienced owners who are well aware of the residents needs”. The homeowner said. “I am a registered mental health nurse and worked in this field for over twenty five years”. Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 6 The homeowners and family live in the building and are always available ensuring the residents feel safe and are able to talk to someone any time of the day or night. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures were very clear and precise to ensure the needs of the residents are met. EVIDENCE: We looked at two residents records and found they contained thorough assessments that had been completed by Social workers and the mental health team prior to moving into the home. From these assessments the management team has developed their own assessments to ensure they can provide the care and support required by the residents. One member of staff spoken to said, “We always do a thorough assessment of our own with the information provided by social services”. Standard 6 was not assessed, as the home does not provide intermediate care. Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 9 Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously. Resident’s welfare is closely monitored and health needs are identified and met. EVIDENCE: We looked at records of resident’s and found they were accurate and had good information about their health, welfare and social care needs that supported the staff to maintain and promote each individuals daily needs. Care plans were up to date and regular reviews taking place with residents signing to confirm involvement. Risk assessments had been completed and updated if any changes noted. We advised the homeowners to look at all the residents risk assessments and update them to ensure the safety of residents is maintained. One resident spoken to said, “Yes they do look after me well”. Comprehensive mental health assessments from social services had been reviewed annually to ensure any changes in welfare and health had been noted. One social worker survey commented, “They are competent people and look after the residents”. A member of staff said, we go through the care plans monthly”. Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 11 We looked at resident’s medication records and went through the procedure with the homeowner, there was evidence of good practice with only the trained people administering medicines records were accurate. The manager spoken to said, “All three of us trained to give out medication. We advised them to put photographs of residents on the medication record as a safety measure for staff and residents. We saw resident’s respect and privacy being observed by staff talking and helping residents and knocking on bedroom doors to make sure all residents are treated with respect. One staff member said, “Its important to treat each person as an individual and with dignity”. Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: Lunchtime meals were seen being prepared, and were wholesome, home baked with fresh produce used providing a nutritious meal. The staff member spoken to said, “With it being small we can cater for what everyone wants”. One resident said, “The food is good”. We noticed the daily routines were flexible and some residents were getting ready to go out, one said “Yes I like the church”. Another said, “I enjoy going to the pub”. The homeowner spoken to said, “We encourage everyone to go out to enjoy there day”. A member of staff said “We are looking to do keep fit classes at the local sports centre for some residents”. Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 13 There is a visitor’s policy, which allows friends and relatives to come any time of the day. One resident confirmed this and said, “My brother-in-law takes me out occasionally”. We looked at resident’s rooms and it showed personal belongings are allowed in so to provide a homely atmosphere for each individual. One resident spoken to in his room said, “Its nice I go every where with my guitar”. Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for recording and reporting of complaints are good ensuring people feel listened to. The management team and staff have good knowledge and understanding of adult protection issues, which safeguards residents from abuse. EVIDENCE: There is a detailed complaints procedure, which is made available to all residents on admission and written in the Statement of Purpose and Service User Guide to ensure they feel protected. There has been one complaint since the previous inspection investigated through their complaints procedure. Examination of records found the complaint had been dealt with appropriately following the procedures with the investigation, outcome and a letter sent to the complainant explaining the process and outcome. The complaint was not substantiated. One resident spoken to about complaints said, “I know who to speak to if I have a complaint”. We examined records and found there is a procedure and policy for dealing with allegations of abuse and safeguarding adults to protect people living at the home. One member of staff spoken to said, “National Vocational Qualification (NVQ) training goes through abuse issues”. Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 15 Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is safe and clean maintained to a good standard providing comfortable surroundings for the residents. EVIDENCE: We had a walk around the building and found it to be clean and tidy and maintained to a good standard ensuring residents live in a pleasant clean home. One member of staff spoken to said, “We all try and keep everything clean”. There have been a lot of improvements to the decoration of the building inside. A new bathroom fitted, new decoration to resident’s bedrooms and the dining room redecorated. The homeowner spoken to said, “The residents chose the colours”. One resident confirmed this and said, “We like the yellow colour in Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 17 the dining room”. To improve the environment further the outside of the building would look better redecorated to make the home look clean and pleasant from the outside. There are policies and guidance for laundry processes and for the control of infection ensuring the home is kept clean, pleasant and hygienic. Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The small staff team are trained ensuring they have the skills and competencies for their roles. Recruitment procedures are in place should any new personnel be employed. EVIDENCE: Observation of people working at the time of the visit, examination of rotas and discussion with the homeowners confirmed there were sufficient people on duty to ensure the resident’s needs are being met. One staff member spoken to said, “With it being a small home we only need three of us”. One resident spoken to said, “I can always go out with S…. any time there is always someone to take me”. Although there is a small staff team records shows the member of staff has completed National Vocational Qualification (NVQ) level 2 in care to help gain the competencies to work in a care home. When spoken to the member of staff said, “I have done a number of courses and training days in care”. Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 19 There has been no new staff employed for a number of years however the homeowners have recruitment procedures in place should staff need to be employed. Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed well, with systems and policies in place for the protection and safety of staff and residents. EVIDENCE: The homeowner now has completed the Registered Managers Award and has the necessary skills and experience required to support the residents and enable the home to meet its stated purpose and objectives. Talking to the staff team and looking at records show they have good systems to gather staff, residents and relative’s views to enable ongoing improvements to the home. Resident meetings are held and records confirm they take place Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 21 on a regular basis ensuring there views are listened to and implemented if agreed it would improve the home. One of the homeowners spoken to said, “We have to have meetings, the residents want that, they chose the colours for the dining room at the meeting”. We looked at records and found regular tests to emergency lighting, fire procedures, electrical appliances, the stair lift and fire extinguishers had been carried out ensuring the safety of everyone is maintained. Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 3 3 Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP31 Good Practice Recommendations The registered person should complete the registered managers award equivalent to NVQ 4 in management and care. Furnishings of communal areas should be of good quality and domestic in character. The registered person should ensure the correct name and address is given to all residents and relatives in the homes documentation for referring a complaint to CSCI. 2. 3. OP20 OP16 Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Rivacre Rest Home DS0000009751.V343142.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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